Individual provider Active NPI

Alicyn Marie Boehmer, D.C.

  • Chiropractor
  • Columbia, MO
National Provider Identifier
1851442339
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2005003663 Issued in MO
Practice address
1608 Chapel Hill Rd Ste D
Columbia, MO 65203-5464
Phone
(573) 445-4000
Fax
(573) 447-3336
NPI assigned
Jan 13, 2007
Last updated
Jun 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2005003663 MO Primary

Addresses

Primary practice location

1608 Chapel Hill Rd Ste D
Columbia, MO 65203-5464

Mailing address

2216 Forum Blvd
Ste 102
Columbia, MO 65203-5409
Phone (573) 445-4000

Other identifiers 2

IdentifierTypeStateIssuer
198295OtherMOBLUE CROSS BLUE SHIELD
671564OtherMOUNITED HEALTH CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051114000095 MO Practitioner - Chiropractic 5799704383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Boehmer Chiropractic and Acupuncture PCGroup PAC ID 5395752513, 2 clinicians

Practice addresses (Care Compare)

2216 Forum Blvd
Suite 102
Columbia, MO 65203-5409
Phone (573) 445-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Boehmer Chiropractic and Acupuncture PC Chiropractor CurrentSince Oct 4, 2004 Accepting new patients

Locations

1608 Chapel Hill Rd
Ste D
Columbia, MO 65203
Phone (573) 445-4000

2216 Forum Blvd
Ste 102
Columbia, MO 65203
Phone (573) 445-4000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1851442339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 FORUM BLVD",
            "address_2": "STE 102",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035409",
            "telephone_number": "573-445-4000",
            "fax_number": "573-447-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 CHAPEL HILL RD STE D",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035464",
            "telephone_number": "573-445-4000",
            "fax_number": "573-447-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEHMER",
        "first_name": "ALICYN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-13",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2005003663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "198295",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "671564",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.